Provider Demographics
NPI:1437456217
Name:MCKEANY, ALLISON MARGARET (MS, RD)
Entity Type:Individual
Prefix:
First Name:ALLISON
Middle Name:MARGARET
Last Name:MCKEANY
Suffix:
Gender:F
Credentials:MS, RD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:181 ANDRIEUX ST
Mailing Address - Street 2:SUITE 208
Mailing Address - City:SONOMA
Mailing Address - State:CA
Mailing Address - Zip Code:95476-6932
Mailing Address - Country:US
Mailing Address - Phone:707-321-4756
Mailing Address - Fax:707-935-8374
Practice Address - Street 1:181 ANDRIEUX ST
Practice Address - Street 2:SUITE 208
Practice Address - City:SONOMA
Practice Address - State:CA
Practice Address - Zip Code:95476-6932
Practice Address - Country:US
Practice Address - Phone:707-321-4756
Practice Address - Fax:707-935-8374
Is Sole Proprietor?:Yes
Enumeration Date:2011-02-14
Last Update Date:2023-03-21
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CA1018935133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered